<div class="symbiosis-css" title="{$site_css}symbionts/user.signup.css"></div>
<div class="symbiosis-js" title="{$site_js}symbionts/user.signup-order.js"></div>
<div class="symbiosis-js" title="{$site_url}files/js/scripts/md5ie.js"></div>
<div class="sym_user_signup">
    <h1>{@symbionts.user.signup}</h1>
    <form action="">
        <div class="message"></div>
        <div><input class="un_key" type="hidden" value="{&un_key}" /></div>
        <div class="form">
        <div class="row"><label>{@symbionts.user.login}</label><input class="login" type="text" /><label class="input_message"></label></div>
        <div class="row"><label>{@symbionts.user.password}</label><input class="pass" type="password" /></div>
        <div class="row"><label>{@symbionts.user.repassword}</label><input class="repass" type="password" /></div>
        <div class="row"><label>{@symbionts.user.email}</label><input class="email" type="text" /></div>
        <hr/>
        <div class="row"><label>{@symbionts.user.firstname}</label><input class="firstname" type="text" /></div>
        <div class="row"><label>{@symbionts.user.lastname}</label><input class="lastname" type="text" /></div>
        <div class="row"><label>{@symbionts.user.city}</label><input class="city" type="text" /></div>
        <div class="row"><label>{@symbionts.user.country}</label><input class="country" type="text" /></div>
        <div class="row"><label>{@symbionts.user.phone}</label><input class="phone" type="text" /></div>
        <div class="row"><label>{@symbionts.user.address}</label><input class="address" type="text" /></div>
        <div class="submit"><label>&nbsp;</label><input type="submit" value="Submit" /></div>
        </div>
    </form>
</div>